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alisonfox
#1 Posted : Thursday, November 11, 2010 10:05:39 AM Quote
Rank: Newbie

Groups: Registered

Joined: 11/11/2010
Posts: 9
What a wonderful discovery! My name is Alison. I am 56 and have recently had the shocking diagnosis of Rheumatoid Arthritis, which has shaken my self-image enormously. I see myself as a very active, young, healthy 56 year old so am still coming to terms with what seems like a 'bad thing'.

Twenty-two years ago I had a prolonged episode of seronegative polyarthritis. I had two young children and was bed ridden for several weeks (leading to my three year old daughter announcing that she would prefer my friend Wilma to be her mother becasue she could walk!! I am glad to report that now, aged 26, has confirmed that she is glad I didn't give her away!)) I was put on sulphasalazine and had a dreadful reaction which hospitalised me. I then decided to take control myself and found a wonderful reflexologist who also advised on diet. Remaining on the NSAID (Oruvail) that I was on, I became wheat and dairy free and began to regain some energy and function. After a while she suggested that I ask for a referral to the Glasgow Homeopathic Hospital and that moved me on to the stage where I was able to come off the NSAIDs, and have had twenty very active and happy years symptom and drug free (except for a little blip eight years ago when I had colo-rectal cancer which is now in the past; and being diagnosed with lichen sclerosis - another auto-immune problem).

At the start of this year I began to have sore shoulders and I have been having peculair liver function test results. My wonderful GP has monitored and in June, decided to test for RA. I was more or less symtpom free when I got the word that the blood test showed a strong positive Rheumatoid Factor. Within days my health totally broke down - the RA was back with a vengeance. So I am now really struggling with the MTX dilemma. They want me to go on it. Rationally I know that sounds sensible, but every bone in my increasingly stiff and sluggish body cries NO! I have gone back to the Homeopathic Hospital and am delighted with the help I have had there. I am back to my strict wheat and dairy free regime (having become careless) and I (and my poor husband) am eating oily fish like there is no tomorrow! Symptoms settling but .... MTX or not MTX - that is my question!

I look forward to listening and sharing with others. Alison

dorat
#2 Posted : Thursday, November 11, 2010 10:55:27 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Alison,

Welcome to the forum but sorry you have RA!
You'll get lots of support and advice on here.
I am 61 and have had RA for almost 10 years, I am on mtx and humira.
As to your dilemma with the mtx....you are not alone there! I am sure every one of us thinks long and hard before starting on the drug which we know is used for cancer but is actually the gold standard treatment for RA.
The choice is entirely up to you, no-one will force you to take it. It is a toxic drug but you will be monitored closely with regular blood tests and anything untoward is usually picked up quickly.
It is a scarey drug when you read the information leaflet, but it has been proved to stop the inflammation of RA and prevent joint damage. For some it doesn't have much effect but for others it has proved to be a lifeline. We are all different (or should I say unique) as to how we react to the drugs so it is very much a case of trial and error to find suitable treatment for RA.
By the way, I had a dreadful reaction to sulphasalazine too but am ok on mtx.
Has your rheumatology nurse had a discussion with you about the drug? If not, see if you can talk it over with her/him . They are very used to people being undecided as to whether to take the drugs or not and will give you the full facts.
Whatever you decide, I hope you can get some relief from your symptoms soon.
Keep posting, I look forward to getting to know you.

Love, Doreen xx
alisonfox
#3 Posted : Thursday, November 11, 2010 12:05:40 PM Quote
Rank: Newbie

Groups: Registered

Joined: 11/11/2010
Posts: 9
Thanks Doreen. Yes I have been "counselled" by the Rheumatology Nurse but felt that I was being "sold" MTX and didn't feel particularly listened to. On reflection this was on a bad day for me - I was still coming to terms with the whole thing and had just had two steroid injections and my knee drained so was not at my best...... I really am trying to be reasonable so should go back and have the discussionn again. Thanks for those thoughts. Alison
suzanne_p
#4 Posted : Thursday, November 11, 2010 7:31:09 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 8/25/2010
Posts: 1,289
Location: Buckinghamshire
hi Alison,

welcome to the Forum ... there is no doubt once you are diagnosed with RA you go into shock i know i did and lost over half a stone in a week,

then to be told about Methotrexate is a double whammy. as Doreen said it is the Gold Standard / Bench Mark Drug for RA and i think until you have tried it they won't move you on to anything else.

it took me two weeks to pluck up the courage to start on it, having spoken to Consultant, Rheumy Nurse, my GP who is a fantastic support and also the NRAS Helpline ... who said i could phone them as soon as i'd taken it if needs be.

i chose a day i knew i had no commitments and decided to take it with my breakfast so i could phone my GP or Helpline but i did it and managed to stay fairly calm after all the angst i'd been through over the past fortnight.

it has to be your decision but i wanted to limit joint damage as i was diagnosed quickly ... unfortunately it hasn't worked that well for me having been on it since 17th June but my CRP has come down and my body is coping well on it.

i started at 10mg worked up to 15mg and now on 20mg ... i go for review at the end of this month.

i'm 57 and also have Osteo in my knee's which gives me the most pain, but i certainly don't feel 57 in my head .. lol maybe the body is right now but hoping it will improve more soon. i know mine is fairly mild compared to others but we all have to cope with what we're dealt with.

i would talk to as many Professionals as you can but for me i know deep down i had to go for it.

hope to hear more from you soon,

Suzanne x

Lorna-A
#5 Posted : Thursday, November 11, 2010 8:21:27 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 3/8/2010
Posts: 914

Hi Alison,

Welcome to the forum, I am Lorna, I was diagnosed 3 years ago. I am married with 3 daughters. At the beginning I was very ill with RA, talk about getting hit with a sledge hammer. I thought I was dying, I was virtually bed ridden. Over 5 weeks I went from being fit and healthy to an invalid hardly able to move. But the good bit is I was put on the triple therapy including MTX and now I am really well, no aches or pains so it does work, you just have to believe in it and be positive.

I kept a diary and charted daily how I reacted on these drugs, it really helps. I felt I did not have a choice, I could not feel any worse than I already did. So I had to get better. My RA doctor told me now was the best time to get RA because they were so up on the treatments for it.

I too lost lots of weight and tears at the thought of taking this medicine, read the notes once and don't read them again for your own sake. That is what I did, the doctors are there and monitor you well, they will also stop it if there is any problems. My heart goes out to you, you have joined the club no-one wants to join but hey you get the tea shirt now Smile Try to be positive it really does help. Thinking about you, and sending a big hug to make you feel better. Lorna xx Smile
SueB
#6 Posted : Thursday, November 11, 2010 8:57:52 PM Quote
Rank: Advanced Member

Groups: Registered

Joined: 8/1/2010
Posts: 255
Location: hampshire
Hi Alison
Welcome to the forum. I'm Sue (58) a teacher with 3 grownup children. I was diagnosed last Oct. I First went on hydroxy and the mtx was added in Fed. I didn't hesitate. I am reallt scared of joint damage - my father-in-law had RA and refused all medication except anti-inflammatories and his hands were terrible, so twisted he could barely hold a cup. I am only on a low dose because my bloods are unusually sensitive and I can't get past 10mgs. (I've just had a rant about that on the RA only forum) Even on that low dose I have done really well and I am really worried they might decide I have to change to something else. The regular bloodtests are a pain (every 2 weeks since Feb so far) but they are also very reassuring. I keep a very close eye on my results.

I must say I am somewhat envious of all you people who lose weight withbRA - I am still waiting for that silver lining.LOL
Good luck with what you decide.
SueBigGrin
benmaise
#7 Posted : Friday, November 12, 2010 12:10:40 AM Quote
Rank: Advanced Member


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Joined: 12/3/2009
Posts: 263
Hi Alison
I lost a full stone in weight when i first started with R A . Once i got sorted with MTX and Plaquinel etc the weight and a few pounds more went back on.
The doctor said it was the inflamation that made me lose the weight. I am fatter but in a lot less pain. I hope you soon feel a lot better.

Kathleen Mc.










Paula-C
#8 Posted : Friday, November 12, 2010 1:40:55 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 838
Location: Nottinghamshire
Hello Alison

Welcome to the forum!!!!!

I was DX May 2008 and was put on Sulphasalazine and I have had no problems at all. I now take 6 a day. I needed to have something else added last May and was given the choice of MTX and plaquenil (sorry can't spell it). I really didn't want to take MTX after all I had read about it and after talking to the specialist nurse about the two drugs I realised that MTX was the best option. But still I couldn't make my mind up. I looked on the internet and came up with an American site and read about MTX

http://rawarrior.com/met...d-rheumatoid-arthritis/ (I really can lost in this site for days, clicking here and there)

I read all of the different links on the page and after reading them I decided to take it. It did help me alot in my decision.

However it still didn't make any difference when D Day came. I sat there with all of my tablets in a line, took my normal torpedo sized pain killer (800mg) and then the three sulp.............., no problem. Then came the MTX. I started on 10mg so I had 4 x 2.5 tiny, tiny tablets to take. I sat there with one rolling around my finger and thumb trying to pluck up the courage to take it. I was nearly in tears at the thought of putting this tablet in my mouth. I did eventually take them all and then I waited and waited for something to happen. Nothing did, it was really a fuss about nothing. I am currently taking 15mg once a week and I am soon to increase it to 20. I can honestly say that I have had no problem at all with it. I now just throw them all in my mouth have a drink of water and think nothing of it.

Hope this helped in someway. We all understand how you are feeling.

Paula x

Just want to add. The only one sympton of RA that I would of welcomed would of been weight loss...........Sods law I didn't get that one!!!!!!

Kathleen_C
#9 Posted : Friday, November 12, 2010 3:48:09 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 1,689
Location: Durham
Hi Alison, and a big welcome to the forum.

I`m pretty sure we have all reacted to our diagnosis in the same way you have. It`s a lot to take in when you are used to being an active person. I was a PE teacher, and always did a lot of sport, so RA hit me really hard.

Sulphaslazine was the first drug they tried me on, and while I had no side effects, it didn`t do anything to control my RA, so next up it was MTX, and I was horrified at the thought, as we never even had tablets of any sort in the house before RA came calling. However, my RA was rampant, and I couldn`t even pick up my one year old grandson to give him a cuddle, so I needed a drug that worked. Five years down the line I`ve been on all sorts, but currently am on anti-TNF therapy - humira - which I think is even more scarey, but for me it is Hobson`s Choice. When you find a drug that works, it minimises the damage to your joints. If left unchecked, the joints will suffer greatly.

It`s always a difficult situation, but you will be carefully monitored while you are taking the MTX.

Take care,

Kathleen x

alisonfox
#10 Posted : Friday, November 12, 2010 3:55:29 PM Quote
Rank: Newbie

Groups: Registered

Joined: 11/11/2010
Posts: 9
Hi all! Thank you so much for all your posts. I am so thrilled with the forum. It is great to have people who understand at the other end of ..the mouse?! Tonight my old school friend who also has RA is coming to stay. You can imagine what we will be talking about.

Oh, and regarding weight loss.... in the summer before this all happened I decided that I was never going to be a size 12 again and gave a pile of clothes away to the charity shop. I have already lost 17lbs and have had to go out and buy new clothes - a double silver lining! I better not give away the size 14s just in case the same happens to me as happened to Kathleen Mc.....

Thanks again for all your support.

Alison
jenni_b
#11 Posted : Saturday, November 13, 2010 3:49:22 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
hi alison

welcome and Im sorry to read that the RA has decided to bite you.

the mtx is the gold standard medication nowadays for RA. the homeopathic place might help with symptom management but the immune disease that eats bits of the body needs stopping or at least controlling.

i know it is hard for many when they start who rarely even take a paracetamol but really it is the understanding of the seriousness of the disease that comes.

I have a friend who has real issues with wheat and MSG and cheese that really upset the ra.

basic rule- if it upsets you, dont have it!

I am 34 and got RA when I was 20. I have 3 children, my youngest is 3.

Jenni


how to be a velvet bulldoser
AnnieB
#12 Posted : Sunday, November 14, 2010 7:31:57 PM Quote
Rank: Advanced Member

Groups: Registered

Joined: 5/19/2010
Posts: 384
Hi Alison,

When I was diagnosed in May this year I felt the same as you, I had so many concerns about starting MTX. After approx 6 weeks it kicked in and boy to be pain free was wonderful, I started on 20mg weekly which is quite a high dose to start with.

Unfortunately. about 6 weeks ago I was told to stop as the blood tests showed something wrong with my liver, after another blood test I restarted but the pain has returned stronger than ever, fingers that feel broken, crawling up the stairs, can't wait for it to kick in again.

I hope you get the reassurance you need on this site, it certainly has helped me and at times when feeling low I come on and read the posts and it definately helps me.

Anne x
Rose-B
#13 Posted : Monday, November 15, 2010 2:21:11 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 4/20/2010
Posts: 1,749
Location: Somerset


Hello Alison,

Welcome to the Forum you will find amazing advice on here. However sorry that you have RA.

Sorry I am late in welcoming you but I have been away for the w end.

Everyone before me has given you good sound advice. I started on MTX as it is the
'gold' medication they like you to be on. I would certainly give it a try as I did, unfortunately
it was not a drug that suited my body so I had to stop it. However when I was on it
there was a marked improvement on my mobility and inflamation.

I am Rose from Somerset aged 56 . Diagnosed 2 years ago and still waiting to sort out my
medication to go on TNF's. I am married and have 2 grown up children and 1 granddaughter
aged 6.

Keep posting and good luck

Rose
alisonfox
#14 Posted : Thursday, November 18, 2010 11:37:51 AM Quote
Rank: Newbie

Groups: Registered

Joined: 11/11/2010
Posts: 9
Thanks Suzanne and Lorna,

Believe it or not, I am still waiting to actually be prescribed the MTX. I had to have a liver biopsy before the rheumatologist was happy to prescribe it. The results took five weeks to come back and show mild inflammation in my liver - consistent with RA. I see him again on the 29th of this month and will have baseline measures taken then. It looks like I may have the start of neuropathy in my left foot. My GP is supporting me in waiting to go on the MTX thereafter. Sometimes I can't wait to get started; and other times I feel I am managing without it and want to continue to do so. These clashing thoughts occur several times a day!

I can't decide if my reluctance is due to me being a bloody minded individual (this is the analysis my long-suffering husband prefers!); or because I am still in denial; or just because I have an intuitive belief in a model of illness which does not favour pharmaceuticals. I kind of believe that illness is functional and if I address the issues that have led me to this position then I will maybe be able to combat the inflammation in that way. I am really looking at the way I live my life (too busy, too stressful, too many stimulants (coffee, alcohol), a lazy diet, not enough 'me' time etc etc), and as a colleague advised, I am trying to put my own welfare at the centre of any decisions. This is counter to my calvinist upbringing............... so a bit of a struggle. And then I wonder if this is all just really naive and I go back to wondering if I am just in denial and trying to be in control.

On re-reading that it seems that I need to get my head sorted ..... Is there any other newbie out there who is as confused?

Alison
MASH
#15 Posted : Friday, November 19, 2010 11:31:50 PM Quote
Rank: Newbie

Groups: Registered

Joined: 10/27/2010
Posts: 9
alisonfox wrote:
What a wonderful discovery! My name is Alison. I am 56 and have recently had the shocking diagnosis of Rheumatoid Arthritis, which has shaken my self-image enormously. I see myself as a very active, young, healthy 56 year old so am still coming to terms with what seems like a 'bad thing'.

Twenty-two years ago I had a prolonged episode of seronegative polyarthritis. I had two young children and was bed ridden for several weeks (leading to my three year old daughter announcing that she would prefer my friend Wilma to be her mother becasue she could walk!! I am glad to report that now, aged 26, has confirmed that she is glad I didn't give her away!)) I was put on sulphasalazine and had a dreadful reaction which hospitalised me. I then decided to take control myself and found a wonderful reflexologist who also advised on diet. Remaining on the NSAID (Oruvail) that I was on, I became wheat and dairy free and began to regain some energy and function. After a while she suggested that I ask for a referral to the Glasgow Homeopathic Hospital and that moved me on to the stage where I was able to come off the NSAIDs, and have had twenty very active and happy years symptom and drug free (except for a little blip eight years ago when I had colo-rectal cancer which is now in the past; and being diagnosed with lichen sclerosis - another auto-immune problem).

At the start of this year I began to have sore shoulders and I have been having peculair liver function test results. My wonderful GP has monitored and in June, decided to test for RA. I was more or less symtpom free when I got the word that the blood test showed a strong positive Rheumatoid Factor. Within days my health totally broke down - the RA was back with a vengeance. So I am now really struggling with the MTX dilemma. They want me to go on it. Rationally I know that sounds sensible, but every bone in my increasingly stiff and sluggish body cries NO! I have gone back to the Homeopathic Hospital and am delighted with the help I have had there. I am back to my strict wheat and dairy free regime (having become careless) and I (and my poor husband) am eating oily fish like there is no tomorrow! Symptoms settling but .... MTX or not MTX - that is my question!

I look forward to listening and sharing with others. Alison

jenni_b
#16 Posted : Saturday, November 20, 2010 1:40:35 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
you know it must drive drs potty when they prescribe something that is trialed and tested for use on a prgressive immune disease to have someone say "oh i think its to do with eating oranges and being a bit stressed".

from a patients perspective it is about accepting different realities in stages. I think you need to feel listened to and validated- certainly having a "can I do something for myself" attitude holds in good stead but you also need gentle hand holding towards an understanding of the gravity of RA and what it means individually for you.
how to be a velvet bulldoser
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